Term
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Definition
Diazepam Lorazepam Promethazine Diphenhydramine |
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Term
Drugs for Rapid sequence intubation |
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Definition
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Term
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Definition
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Term
Drugs for Aspiration Pneumonitis |
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Definition
Bicitra and Polycitra - antacids
Metoclopramide - domapine antagoist |
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Term
Drugs for Nausea/Vomiting |
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Definition
Scopolamine
Metoclopramide |
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Term
Drugs for Anti-cholinergics |
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Definition
Atropine Glycopyrrolate Scopolamine |
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Term
Drugs for Cardiovascular support |
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Definition
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Term
What is the Typical Drug Sequence before surgery? |
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Definition
1. Pre-op visit and interview 2. Night before surgery - Benzodiazepine 3. 1-2 Hrs before surgery: -Benzodiazepine po -150mL water -Opioid - IM - analgesia -Scopolamine - IM - amnesia, sedation -Cimetidine -decrease Gastric fluid increase pH -Glycopyrrolate 4. Transfer to surgery - 8-10 more drugs |
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Term
What problems do NSAIDS pose for post surgery? |
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Definition
Post-surgical bleeding - decrease platelet aggregation Fracture healing - COX2 inhibitors inhibit ossification process |
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Term
What can be used to neutralize existing gastric contents? |
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Definition
Antacids Non-particulate best so doesn't stay in stomach |
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Term
What can be used to accelerate gastric emptying? |
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Definition
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Term
What is the mechanism of Metoclopramide? |
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Definition
Central effects - dopamine antagonism Antagonized by anticholinergics and narcotics Alters bioavailability of oral drugs |
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Term
What drug can be used to treat reflex bradycardia? |
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Definition
Atropine - vagolytic effect |
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Term
What 3 drugs can be used to dry overproduction of secretions? |
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Definition
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Term
What Anticholinergic can be used for sedation and amnesia preoperatively? |
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Definition
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Term
What is Rapid Sequence Intubation? |
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Definition
Process of Oxygenating the patient before administering anesthetics and intubating the patient |
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Term
What drug is used for increased intracranial pressure or penetrating injury, or reactive airway disease? (RSI) |
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Definition
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Term
Who might need Atropine to mitigate bradycardia in response to succinylcholine? |
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Definition
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Term
What is the most common reason for delayed awakening? |
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Definition
Residual anesthetics and ancillary drugs |
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Term
How is anaphylaxis managed? |
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Definition
Initial: Stop drug administration and anethesia
Give O2
Give Epinephrine and Fluids
Secondary: Antihistamines
Catecholamines
Corticosteroids
Sodium bicarbonate |
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Term
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Definition
Sedation
Oral benzodiazepine
Given the night before or hours before surgery
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Term
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Definition
Sedation
Oral or IM benzodiazepine
Given the night before or hours before surgery
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Term
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Definition
Sedation
Oral or IM 1st Generation Antihistamine
Risk of seizures
Bronchodilator
Sedative
Anti-anxiety
Anti-Emetic
Analgesic |
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Term
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Definition
Sedation
Oral or IM 1st Generation Antihistamine
Bronchodilator
Sedative
Anti-anxiety
Anti-Emetic
Analgesic |
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Term
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Definition
RSI
Topical anesthetic
Treat elevated intracranial pressure and reactive airway disease |
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Term
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Definition
RSI and Anti-cholinergic
Used in children under 10
Drying of secretions
Treat reflex bradycardia |
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Term
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Definition
Aspiration
Antacid (Na + K-citrate)
Raise gastric pH (less acidic)
Liquid - less risk of aspiration |
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Term
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Definition
Aspiration and Nausea/Vomiting
Dopamine antagonist
Accelerate gastric emptying
Causes sedation
Increased risk of seizure
Antagonized by anticholinergics and narcotis
Alters bioavailability of other drugs
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Term
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Definition
Nausea / Vomiting and Anticholinergic
Cholinergic antagonist
Blocks pathway from inner ear
Cheapest
Sedation and amnesia
Vagolytic and antisialogogue |
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Term
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Definition
Anti-Cholinergic
Drying of secretions (strongest) |
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Term
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Definition
Cardiovascular support
Treat hypotension |
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Term
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Definition
Cardiovascular support
A1 Agonist
Treat hypotension |
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Term
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Definition
Anaphylaxis Management
Corticosteroid |
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